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SGH upgrades robotics equipment to conduct 2 procedures in one operation March 30, 2010, Singapore news
More Singapore surgeons are being trained to perform robotics surgery, using upgraded equipment that allows two surgical procedures to be conducted in one operation with more precision.
The Singapore General Hospital (SGH) will train 12 more doctors next month to handle such surgeries.
They will then be able to fully utilise the latest equipment brought in to perform complex operations. This is expected to improve patient treatment and recovery. It would also reduce the risks of complications during the surgery.
Associate Professor Christopher Cheng, head and senior consultant, Department of Urology, Singapore General Hospital, said: "Instead of the standard machine with only a solo console, only one surgeon is able to do the operation at one time.
"With the dual console, now surgeons from different disciplines can actually participate in the same surgery, same patient, real time."
Dr al-Binali, Dr al-Suwaidi and HMC marketing and public relations department’s head Mohamed al-Jassim
450 top experts to attend heart conference March 30, 2010
The Gulf Heart Association (GHA), headquartered in Doha, will hold its eight annual cardiovascular conference from April 8 - 10, at the Doha Sheraton. The three-day conference will feature lectures in ultra-modern specialisations in the field of cardiology and cardiac surgeries. Over 1,000 participants including 450 cardiologists and cardiac surgeons from around the world are expected at the event
Famous Japanese specialist Dr Shigeru Saito is expected to give lecture and operate open patients with completely blocked arteries at Hamad Hospital.
The conference will include workshops focusing different sub-specialty in cardiology such as electrocardiogram, cardiac physiology, echocardiography, robotic cardiac surgery and advanced cardiac life support.
There will also be three specialised workshops for cardiology/cardiac surgery nurses as well as extensive sessions devoted for advances in diagnoses and treatment of adult and paediatric cardiac patients.
The conference will also feature two research sessions on paediatric and adult cardiology and two joint sessions – one with the European Society of Cardiology and the American College of Cardiology.
IMRIS acquires Brain Surgery Robot March 30, 2010 by Terry Sharrer
IMRIS, Inc. (Winnipeg) has acquired another Canadian company, NeuroArm Sugical, Ltd. (Calgary) to further develop a robotic surgery device that has the precision to do biopsy-stereotaxy microsurgery in the brain, aided by MRI guidance. The hand control has enhanced touch sensitivity that allows the surgeon to "feel" tiny features...read more
Using your Health Savings Account to Pay for International Travel March 29, 2010
Medical tourism first began to get popular in the 1990’s, when people began traveling in large numbers to Brazil for cosmetic surgery. But as costs have continued to rise, thousands of Americans have been traveling overseas for real medical conditions, such as knee replacements, by-pass operations, heart valve replacements, and other serious issues. Many countries are seeing medical tourism as a good way to bring in foreign money.
In many cases the quality of medicine available overseas is equal to the top hospitals in the U.S. Patients are showing up at places like the Apollo Hospital in Hyderabad, India, part of a 36-hospital chain founded by a cardiologist from Massachusetts General. A heart valve replacement may cost $50,000 to $100,000 in the U.S., and only $12,000 in India, including travel costs.
Escorts Heart Institute and Research Center, in Delhi, India, is another popular medical tourist destination. It was founded by Dr. Naresh Trehan, an authority on robotic cardiac surgery formerly based at New York University.
Blue Cross Blue Shield has just announced that they will pay for treatment at Bumrungrad International Hospital, Bangkok, Thailand for individuals from South Carolina. Over 80,000 Americans received treatment there last year. The hospital boasts that over 200 of its doctors are board-certified in the U.S, and will perform a knee replacement operation for 20 percent of what it would cost in the U.S.
Who Does This?
Dodie Gilmore is a 60 year-old rodeo barrel-racing champ from Oklahoma. She runs a 180 acre ranch, but could no longer ride a horse because she needed a hip replacement. Her health insurance plan had an exclusion that wouldn’t cover her operation, and she really didn’t feel like paying the $35,000 it would cost her. Instead she and her partner flew to India where she had the surgery at the Max Institute of Orthopedics and Joint Replacement.
Her physician was Dr. S.K.S. Marya, who averages one American hip-replacement patient every week. Dodie’s total coast, including travel, was only $11,000. She even managed to take in a tour of the Taj Mahal....read more
3-D Navigation system
New 3D Technology Helping People Who Suffer From Back Pain March 24, 2010
LOS ANGELES -- If you suffer from chronic back pain there's a new breakthrough procedure that could help you. It's a new 3-D Navigation system allowing surgeons to perform spine surgeries in a more effective and safer way than ever.
Dr. Robert Watkins, of the Marina Spine Center in Marina del Rey and his father are the first doctors on the West Coast to use a new image guided tool that provides a three dimensional image on the operating room table to support surgeons during surgery.
Dr. Watkins explains how a 3D image on the operating room table is available and in contrast to a robotic form of surgery, the spinal surgeon is in full control during the operation while the computer offers visual support and guidance.
in a traditional spine surgery up to twenty percent of the screws surgically implanted are misplaced. And if one hits a nerve by mistake that can cause major nerve damage.
Seton Williamson offers free screenings, surgery tour and heart lab visit Saturday March 24, 2010
Seton Medical Center Williamson will offer free health screenings and show off some of its high-tech gizmos used in hip replacements, heart catheterizations and other procedures at its annual Hands on Health Community and Health Education Saturday.
The mock surgery/cardiac catheterization lab tour is a family-friendly event that gives the community a chance “to experience what goes on in the surgery room, get health screenings, donate blood, take a look inside a real LifeStar helicopter and more…” Seton says.
It runs from 10 a.m. to 2 p.m. at the hospital, 201 Seton Parkway, Round Rock.
The tours will include a look at total hip and knee replacements; a demonstration of minimally invasive high definition cameras, monitors, and scopes used in various procedures; laparoscopy demonstrations; a simulated heart catheterization; and a display of robotic surgery equipment, among other things. For more information Click here
Dual Console, The latest version of the da Vinci robot, a $2.5 million technology, allows two surgeons to operate together.
The Slow Rise of the Robot Surgeon March 24, 2010 Robot-driven procedures are popular, but surgeons say the technology isn't evolving quickly enough.
At a recent talk in Boston, Nguyen described complex reconstructive surgeries--fashioning a urethra from an appendix, for example--that just a few years ago would have required open surgery.
But after the talk, rather than expressing wonder or hope over these new surgical possibilities, many of the surgeons, scientists, and engineers in the audience focused on their frustration with the technology. The group had varying concerns--if and when the robot will outperform traditional laparoscopy; the learning curve associated with the technology; whether it allows less experienced surgeons to perform more complex surgeries. But everyone agreed on two points. The technology isn't advancing fast enough or dropping in price quickly enough. "The system is very expensive because only one company makes it now," says Nguyen. "We need more competition to drive down price."
Nguyen agrees that Intuitive's monopoly has stalled the field. "People are afraid to challenge Intuitive because they are such a big company," says Nguyen. "But now we're starting to see a rebellion from physicians on the price, especially in the context of the discussion on how to cut down costs. That will motivate more people to consider coming into the market."
Dennis Fowler, one of the surgeons in the audience at Nguyen's talk, has experienced this first-hand...read more
"People have been disappointed in how slowly the robot is evolving," says Jon Einarsson, a gynecological surgeon at Brigham and Women's hospital in Boston. "There hasn't been a lot of evolution or improvement in the articulation at the tip of the instrument." Some innovations that Einersson would like to see are haptics -- a sense of touch that can be translated from the robotic instruments to the surgeon -- and a way to incorporate data from magnetic resonance imaging.
Some surgeons and engineers argue that a much smaller and cheaper device could provide the same visual advantages and flexibility, but that no one has been able to move this forward.
"The daVinci® robot looks like it was designed to make automobiles -- it's a great big clunky gear," says Kirby Vosburgh, an engineer with the Center for Integration of Medicine and Innovative Technology (CIMIT), in Boston, who previously designed medical technology for General Electric. For complete story Click here
CMU Students See Innovative ‘daVinci’ Surgical Robot Work March 23, 2010
PITTSBURGH -- Students at a class called Surgery for Engineers at Carnegie Mellon University got the chance to experience the daVinci surgical system.
Neurosurgeon James Burgess of Allegheny General Hospital, who developed the new Carnegie Mellon biomedical engineering course, said it was a chance for students to see how technology is helping surgeons. Click here for complete article
With precise hand movements, Dr. Mark Dylewski, a thoracic surgeon, operates the da Vinci Surgical System at South Miami Hospital.
Use of surgical robots on the rise in operating rooms March 23, 2010
MIAMI, FLORIDA – Three robots – no waiting.
It could be the slogan of South Miami Hospital, where 19 surgeons are on track to perform more than 1,000 robotic surgeries this year.
Since its program began in 2007, hospital executives say it has become one of the world’s busiest centers for surgeries using the robots, formally called da Vinci Surgical Systems. They say the hospital ranks fifth in the combined total of gynecologic, prostate, thoracic, bariatric, colorectal and heart surgeries performed with robots.
“This is the future,” says Wayne Brackin, chief operating officer of Baptist Health South Florida, South Miami Hospital’s parent company, who helped set South Miami’s course when he was CEO there. “We don’t want to be left behind.”....continue reading
Minimally invasive tool for gall bladder surgery
The latest invention in robotic surgery? March 23, 2010 By Chad Howland
In addition to working with Element SEO, I am working with a friend of mine who happens to be a genius. He has designed and patented a cool bendy tube thingy that rich robotic surgery companies can do some awesome smart something with to make gall bladder surgery patients have 1 very tiny scar instead of 3 kind of small scars.
Hospital offers ‘test drive’ of new robotic surgical system March 23, 2010 CHAMBERSBURG, Pa
Chambersburg Hospital is inviting the community to “test drive” the newest addition to the hospital’s surgery program.
The hospital will hold a da Vinci Robotic Surgical System Open House for the community March 27, 10 a.m. to 2 p.m., at Chambersburg Hospital, 112 N. Seventh Street, Chambersburg.
Attendees can sit at the surgeon’s console and test drive the instruments that control the system’s robotic arms. Surgeons and nurses from the hospital’s Robotic Surgery program will also be on hand to answer questions.
Considered the future of minimally invasive surgery, the da Vinci system allows surgeons to perform complex procedures with maximum precision. For more information about Chambersburg HospitalClick here
3D haptics to help surgeons feel the cutting edge March 23, 2010
AUSTRALIAN researchers are developing a universal simulator to bring a realistic sense of touch to simulations for medical procedures, defence and policing.
The simulator is based on force feedback technology, or haptics, which in its simplest form is used in arcade games to give players a sense of touch -- such as feeling the forces when going into a corner in a driving game.
Deakin University robotics engineer James Mullins has been developing the technology with the goal to make a simulation so close to the real thing that it can be used for training purposes...continue reading
Cyber-knifing cancer! March 21, 2010 AHMEDABAD, INDIA
Cyber-knife that uses intelligent robotic systems to target tumours with unprecedented precision delivering intense dose of radiation to the cancerous growths, offers new hope to patients with tumours in critical areas, believe experts.
"Tumours in critical organs like brain, spine, lungs are difficult to treat with conventional treatment like surgery, radiation or chemotherapy. Usually in these treatments, along with the cancerous cells, normal tissues also get damaged, which proves counter-productive," says Dr BS Ajaikumar, chairman of the HCG Group, which has 18 cancer dedicated centres across India.
Currently, the cyber-knife radio-surgery is offered at only two centres in the country HCG Bangalore and Apollo Hospital, Chennai. Dr Ajaikumar said that arrangements are made through HCG-Medisurge, Ahmedabad to refer patients from Gujarat to HCG Bangalore for cyber-knife surgery.
"These patients are not only offered pick-up and lodging facilities but are also offered the surgery at discounted prices as they are referred to us by of one of our own associate hospitals," he said.
The cyber-knife procedure was first offered at HCG in June, 2009 and nearly 300 patients have undergone the procedure so far. "Cyber-knife has been exceptionally effective in treating difficult brain tumours with more than 90 per cent tumours responding to the treatment," said Dr Ajaikumar.
The other good part is that the cyber-knife is an outpatient procedure and the patient is discharged from the hospital the same day. The procedure was developed by a doctor in Stanford University.
The HCG-Medisurge Hospital will offer cancer patients the facility of paying fee of cancer surgery in the form of equated monthly instalments (EMIs) from the month of April. Expansion is also on the radar as the hospital will soon announce a dedicated advance cancer treatment facility off the SG Highway.
Chairman of HCG Group, Dr BS Ajaikumar said that advance robotic radio-surgery for cancer in critical organs costs Rs 4-5 lakh. To help patients afford this surgery and other cancer treatments, which tend to put extreme financial burden of the family, a business model for every category has been worked out.
"For people who have a problem in arranging funds at one go, we have developed a business model where we will offer the option of paying the amount in EMIs. This model has been implemented in Bangalore, Delhi and will be implemented in Ahmedabad from April," he said.
Dr Ajaikumar said that most of the patients have paid up the EMIs. "We are encouraged as number of defaulters have been low," he said.
Meanwhile, director HCG Medisurge, Dr Jagdish Kothari said that he was hopeful that the EMI option would benefit a big number of patients. "We intend to bring PET scan and even cyber-knife soon to Gujarat," said Dr Ajaikumar. Article from The Times of India
Saint Joseph's Hospital Atlanta Opens Nation's First Leading-Edge Recovery Lounge for Heart Patients March 20, 2010
Saint Joseph’s Hospital of Atlanta (SJHA) celebrates another cardiac care victory, bringing the nation’s first Transradial Heart Cath Recovery Lounge to Atlanta heart patients.
Saint Joseph’s Heart and Vascular Institute proudly debuted its new Recovery Lounge as the city welcomed thousands of the world’s esteemed cardiologists for the American College of Cardiology 2010 Convention.
"The Transradial Heart Cath Lounge allows patients to walk around or relax in a lounge chair after their procedures" says Jack P. Chen, M.D., "They can recover in an internet café-like atmosphere and watch HD television, check e-mails, or surf the net and hopefully not feel like they are in a hospital."
The lounge serves as an example, not only as a means for increasing patient comfort, but as a way to dramatically reduce healthcare costs associated with heart catheterizations. It improves efficiencies for physicians and nurses while accommodating patients through a more positive recovery....continue reading
Best of Asia Med Show in Kohima March 19, 2010
Good news for the cancer patients of Nagaland. The Apollo Hospitals Group, Chennai, is offering free consultation/registration to cancer patients at the ongoing Best of Asia Med Show at the Local Ground in Kohima.
After proper consultation and check-ups and scrutinising the earlier reports, if any, the reports are sent to Chennai where a team of expert doctors through a Tumour Board comprising of competent Medical, Surgical and Radiation Oncologists together with Diagnostic consultants discuss the referred cases and jointly decide on the best line of treatment for the patient.
Apollo Speciality Cancer Hospital is the first hospital in India to treat patients with the revolutionary Cyber-Knife. The newly installed Cyber-Knife system at the Apollo Hospital is the most advanced in the Asia Pacific region.
At the Best of Asia Med show at Kohima, patients are made to understand more on the Cyber-Knife robotic radio surgery system which is the world’s first and only robotic system, designed to treat tumours anywhere in the body with sub-millimetre accuracy.
Cyber-Knife radio-surgery is a precise, painless, non-evasive radiation treatment that can be an alternative to open surgery in certain cases. The latest system is extremely effective in the case of most tumours, which include tumours of the prostate, lungs, liver, brain, spine, pancreas and many others where the tumours are treated with high doses of radiation directly on it. Furthermore Cyber-Knife is ideal for all tumours that are inaccessible or in cases where the patient is not in a condition for surgical intervention.
The show will go on till March 24 where cancer patients can avail the opportunity of free consultation from 10am to 4pm....For complete story Click here
Noted French surgeon professor Jacques Marescaux
French surgeon, local experts to discuss advances in surgery March 18, 2010
Noted French surgeon professor Jacques Marescaux will debate with local experts on recent and future innovations in surgical technologies and their relevance to Qatar at a ‘TECHtalks’ event on March 22 at 7pm in Four Seasons Hotel.
The event is to generate ideas and stimulate local and international collaboration in surgical practice. Specialists and general public can participate.
Marescaux, as a visionary surgeon and business leader, has always been at the forefront of technical advances in surgery. He is the founder and chairman of IRCAD in France, a prestigious training centre in minimally invasive surgery that is also at the forefront of technology development in medical imaging, virtual reality and computer science applications in surgery.
Marescaux will demonstrate to the audience how applications of computer science are currently revolutionising surgical practice.
He will illustrate this by state-of-the-art examples, including 3D modelling of patients and organs, “augmented reality” and advances in automation using robotic surgery. His lecture will be followed by a.....continue reading
Sit in on a kidney surgery at Swedish March 17, 2010 By STEPHANIE KLEIN MyNorthwest.com
Ever wonder what it would be like to sit in on a major surgery?
The month of March is National Kidney Month and to honor this month's theme, Swedish Hospital gathered a group of "tweeters" from the hospital and had them observe Dr. Porter performing this critical operation using the da Vinci technology.
The "tweeters" live tweeted the entire operation from beginning to end. The premise behind the event was to be able to give more people an inside look at the advances that have been made in modern surgery. The surgery occurred on Wednesday, March 17, 2010 at 7:40 am and was a complete success.
"The procedure that we are observing today is the latest advance in kidney surgery and uses robotic technology so that surgeons can get evermore precise, in terms of removing the tumor," Melissa Tizon, who is tweeting at Swedish, told KIRO Radio.
Tizon said surgeons used the da Vinci robot to remove a tumor. She saw the incision made and, within minutes, spots were spotted on the kidney.
According to Tizon, the patient gave the hospital permission to share the details of his surgery online as it happens. "He thought it was really interesting we were doing this." And Twitter followers agree. "We've been getting a lot of tweets and mentions. We're glad other people are interested."
Dr. James Porter and his team performed the surgery.
kkleiner writes “Robotic surgery is experiencing explosive growth in America’s operating rooms, and the unquestioned industry leader in that field is the DaVinci robot, made by Intuitive Surgical.
Only 14% of prostate surgeries in the US last year took place not using the DaVinci. Installations have grown from 210 systems seven years ago to 1,395 today. Although typically used for smaller surgeries like prostate removal and hysterectomies, the system was recently used for a kidney transplant, and more complicated procedures are expected in the future. The DaVinci is really just the first wave of robotic surgery as technology continues.....more
Two Redlands physicians featured on TV program March 17, 2010
Two Redlands physicians will be featured on "American Health Journal" on KTLA-TV channel 5 at noon on Sunday.
The show will spotlight Dr. Karim Toursarkissian, a physician at Beaver Medical Group, and Dr. Paul Ennis, medical director of Home Health Services and medical director of Redlands-Yucaipa Medical Group.
Both are on the medical staff of Redlands Community Hospital.
Toursarkissian, will discuss gynecologic procedures performed using the da Vinci Robotic Surgical System, a technology offered at Redlands Community Hospital.
Ennis will speak on home health services offered at Redlands Community Hospital
Transoral robotic surgery for head and neck cancer feels a lot better than chemoradiation—but is it? March 16, 2010
With FDA approval early this year to market robotic surgery applied through the open mouth for oral and throat cancers, there's a new element in the surgery-versus-chemoradiotherapy debate surrounding these malignancies. As yet there's little evidence that robotic surgery offers oncologic outcomes comparable to chemoradiation, according to a recent review by the surgeons who pioneered the technique at the University of Pennsylvania. (Current Opinion in Otolaryngology & Head and Neck Surgery 2009, 17:126–131)
Functional outcomes (postoperative pain, swallowing ability, and the like) are clearly better than traditional surgery or chemoradiation, but does the patient risk survival in the interests of comfort?A preliminary study from New York's Mount Sinai Hospital begins to address that question.
Comparing 25 patients treated with transoral robotic surgery (TORS) for oropharyngeal cancer and 12 treated with standard chemoradiation, the TORS group showed "equivalent or near-equivalent" one-year outcomes to the chemoradiation patients in terms of disease-free survival and overall survival (86% for both measures in the TORS group).
The results were reported late last month at the Multidisciplinary Head and Neck Cancer Symposium in Chandler, Arizona. It's crucial to confirm....Complete article
Use of surgical robots on rise in South Florida operating rooms [The Miami Herald] March 16, 2010
It could be the slogan of South Miami Hospital, where 19 surgeons are on track to perform more than 1,000 robotic surgeries this year.
Since its program began in 2007, hospital executives say it has become one of the world's busiest centers for surgeries using the robots, formally called da Vinci Surgical Systems. They say the hospital ranks fifth in the combined total of gynecologic, prostate, thoracic, bariatric, colorectal and heart surgeries performed with robots.
"This is the future," says Wayne Brackin, chief operating officer of Baptist Health South Florida, South Miami Hospital's parent company, who helped set South Miami's course when he was CEO there. "We don't want to be left behind."
Other hospitals are busy too. Surgical robots won FDA approval in 2000, and there are now 1,395 of them in 860 hospitals worldwide, performing more than 200,000 operations a year. Officials at Intuitive Surgical, the robot's manufacturer, say 70 percent of all prostatectomies in the United States now are done by robot....continue reading
Robots sway the surgeons March 16, 2010
A pioneer in robot-assisted heart surgery, East Carolina University's Dr. Randolph Chitwood Jr. takes issue with recent criticisms of the surgery.
Patients who have had prostate cancer surgery using the da Vinci robot are said to have more complications than those who get the traditional, open-incision prostatectomy.
However, Chitwood said the study in the Journal of the American Medical Association in October didn't distinguish between surgeons who performed conventional laparoscopic surgery and those using the da Vinci robot. It also didn't differentiate between surgeons who had done 50 surgeries a year and those who had done 200, he said.
"We know that high-volume centers generally get better results," said Chitwood, chief of cardiovascular surgery at ECU and the first surgeon in the U.S. to use the robot to repair a mitral valve, in 2000.
The JAMA article compared open prostate cancer surgery to laparoscopic surgery and found that laparoscopic patients have less blood loss, less pain and quicker recoveries, but more problems with impotence and incontinence.
The study covered 2003-07, when the technique was new. If the study were done today, Chitwood said, the results would be different because surgeons are now more proficient. "If you have somebody that's done 500 prostatectomies," he said, "I can guarantee they're going to have less complications that somebody doing 50."......How it works
Patient 3,000 Recovering from Robotic Prostate Surgery March 15, 2010
Robert Potter, 67, a retired Kodak worker who survived kidney cancer 35 years ago was diagnosed with prostate cancer last month.
His procedure last Thursday involving the use of the da Vinci Robotic Surgery System at Rochester General Hospital made him patient number 3,000 to undergo robotic surgery at Rochester General Hospital.
Context: In the United States, >70% of all radical prostatectomies are performed by use of the da Vinci robot. In Europe, laparoscopic radical prostatectomy (LRP) still plays a significant role.
Objective: To evaluate the actual and future position of LRP based on the current literature and personal experience with robotic and laparoscopic radical prostatectomy.
Evidence acquisition: PubMed and Medline were used to review the recent literature focusing on ergonomic aspects, marketing, and current functional and oncologic results of both procedures as well as of the open counterpart.
Evidence synthesis: The advantages of robot-assisted laparoscopic prostatectomy (RALP) are mainly related to ergonomic aspects of the procedure, such as…
Robotic-assisted surgery provides the best ergonomics for laparoscopy, resulting in a shorter learning curve. Ergonomics of standard laparoscopy require significant improvement. Such ideas should be implemented for new approaches, such as laparoendoscopic single-site surgery, closing the gap between robot-assisted and laparoscopic surgery. Article from medicine.journalfeeds.com
Urology institute participates in live robotic surgery demonstrations March 13, 2010
VADODARA: Jayaramdas Patel Academic Centre (JPAC) at Muljibhai Patel Urological Hospital (MPUH) in Nadiad participated in Robotic Symposia focused on live surgical demonstrations of various urological procedures taking place in USC Institute of Urology in US.
The programme was part of USC Institute of Urology concept series of organ-specific step-by-step robotic surgeries. These surgeries were transmitted live at five hospitals across the globe, which included JPAC in India. Other locations included Venezuela, UK, China and Kuwait, where live transmission of the robotics series was arranged.
Urologists from Nadiad witnessed live transmission of robotic kidney and prostate surgeries taking place in the US. Doctors did not just end up as spectators, but also got to discuss the process with those in US. This is second such programme organised by MPUH to update its team of urologists on the recent medical practices.
"Robotic surgeries are extensively used in the West. In India, this practice is in its nascent stage. We are organising such symposiums so that our doctors are updated of the latest technology used in surgical processes. Through this programme doctors from both the hospitals get to share each other's expertise," officer on special duty at MPUH PA Joseph said. The programme was conducted by course chairman at USC Institute of Urology Dr Inderbir Gill along with course directors are Dr Mihir Desai and Dr Monish Aron in the US. While at MPUH international faculty included Dr Mahesh Desai, chairman of department of urology and president-elect of Society Internationale d'Urologie. From The Times of India
Milestone is marked at RGH March 12, 2010
Rochester General Hospital recorded robotic surgery No. 3,000 Thursday. Dr. John Valvo, RGH medical director of robotic surgery, performed a robotic-assisted prostatectomy. The hospital began using the da Vinci Surgical System in 2004 as an option in urologic, gynecologic and colorectal cancer treatment. RGH ranks among the top 4 percent of U.S. hospitals offering robotic surgery options. Strong Memorial Hospital has performed 2,859 robotic surgeries, and Highland Hospital has performed 599. From News Briefs
Radiotherapy update March 9, 2010
One of the latest tools in radiotherapy, the CyberKnife® Robotic Radiosurgery System, was unveiled at The London Clinic recently. The CyberKnife uses a robot to deliver high-dose radiotherapy with pinpoint precision to any part of the body. CyberKnife is truly innovative – it can allow doctors to zap tumors with radiotherapy secure in the knowledge that they are not harming their patient. The CyberKnife originated in the United States, where there are several systems already installed, and this new technology is also available elsewhere in Europe. But it is early days for CyberKnife. Once radiologists gain experience, and more hospitals invest in the technology, it’s to be hoped that an ever-increasing number of patients will feel the benefit.
CyberKnife is the ‘jewel in the crown’ of The London Clinic’s brand new Cancer Centre...continue reading
QRSC to launch robotic surgery training in April March 9, 2010
DOHA Qatar Robotic Surgery Centre (QRSC), an initiative of Qatar Science and Technology Park with an investment of $65 million, will formally launch its training services in April this year.
Talking to Qatar Tribune, QRSC Manager Jan Nuyens revealed that the first training session would be for cardiac surgeons from the Middle East during the Gulf Heart Association's (GHA) annual conference to be held in Doha on April 8 and 9. Nuyens also said that there would be large-scale clinical use of robotic surgery in Qatar in a few years' time from now, as it was highly successful in the USA and Europe....continue reading
Artificial Tactile Sensing in Biomedical Engineering won the 2009 PROSE Award from the Association of American Publishers March 8, 2010
The PROSE Awards from the Association of American Publishers, annually recognize the very best in professional and scholarly publishing by bringing attention to distinguished books, journals, and electronic content in over 40 categories. Judged by peer publishers, librarians, and medical professionals since 1976, the PROSE Awards are extraordinary for their breadth and depth.
Each year, publishers and authors are recognized at the PSP Annual Conference in Washington, D.C., for their commitment to pioneering works of research and for contributing to the conception, production, and design of landmark works in their fields.
completed his Ph.D. in Biomedical Engineering at Oxford University, England and had a pos-doc position at the same university for one year. Prof. Najarian serves as the Full-Professor and Dean of Faculty of Biomedical Engineering at Amirkabir University of Technology. His research interests are the applications of artificial tactile sensing (especially in robotic surgery) and design of artificial organs. He is the author and translators of 23 books in the field of biomedical engineering, 8 of which are written in English. Prof. Najarian has published more than 130 international journal and conference papers in the field of biomedical engineering.
Professor Javad Dargahi
received his B.Sc., M.Sc., and Ph.D. degree in Mechanical Engineering in the UK. He was a Research Assistant at the Glasgow Caledonian University, Glasgow, UK and an Assistant Professor at the Amirkabir University of Technology, Tehran, Iran. He was a Senior Post-Doctoral Research Associate with the Micromachining/Medical Robotics Group at Simon Fraser University, Burnaby, B.C., Canada. Prof. Dargahi worked in a few companies in North America. He is currently an Associate Professor in the Department of Mechanical Engineering, University of Concordia.
Robotic-assisted procedures to treat cardiovascular disease can provide all the benefits of conventional open-heart surgery with the recovery advantages of a minimally invasive technique.
State's first robotic-assisted multiple-artery cardiac bypass
UC Davis Medical Center surgeons have performed the state’s first robotic-assisted cardiac bypass procedure involving multiple arteries. The highly complex but minimally invasive operation offers patients quicker recovery times and less blood loss than conventional open-heart bypass.
In contrast to conventional heart surgery, which requires a patient's chest to be opened at the sternum, a robotic-assisted arterial bypass only requires tiny incisions between the ribcage. Surgeons use a specially designed computer console to guide tiny surgical instruments on thin robotic arms, allowing them to make highly precise movements while working within a very small area around the heart.
"Our patient received all of the benefits of conventional open-heart surgery with all the recovery benefits of a minimally invasive procedure," said W. Douglas Boyd, a professor of cardiothoracic surgery who collaborated on the case with surgeons Charles Whitcomb and Jerry W. Pratt. "Research shows that this type of surgery improves long-term survival without any of the downsides that come from having to crack the sternum and open up the chest.
“Patients can be back on their feet within weeks, rather than months, because muscle heals more quickly than bone."
The successful case, which involved a 49-year-old patient suffering from multi-vessel coronary artery disease, was also unique because it combined a robotic-assisted bypass with an arterial stent that opened the one secondary clogged vessel that could not be reached during surgery because of its position behind the heart (a stent is a tiny mesh tube that fortifies the blood vessel wall, helping to keep it open and allow blood to flow freely).
This highly effective combination of procedures is available at only a handful of hospitals in the nation......continue reading
Robotic surgery at SickKids gets boost March 5, 2010
The mom of five-year-old Christian Matienzo says new robotic technology at SickKids hospital will help give her son more confidence the next time he has to go under the knife.
The federal government said Monday it is pouring $10 million into the Centre for Image-Guided Innovation and Therapeutic Intervention at the hospital, which opened last year, to help researchers further develop the KidsArm robotic surgical system, a robotic arm that is more precise with invasive surgical procedures.
The $10-million investment is part of a $5-billion science and technology enhancement, as part of the government's Economic Action Plan. It's estimated that the new robotics at CIGITI will create 80 knowledge-based jobs.
KidsArm is just one of several robots that will be installed in the CIGITI within the next decade. Dr. Peter Kim of SickKids said besides the imaging technology, there will be simulation technology — akin to flight simulators for pilots in training — which will help the next generation of surgeons.
The KidsArm provides enhanced dexterity and precision, resulting in time savings both in surgery and in treatment, Kim said....continue reading
The Perk Station first received funding in March 2008.
The ‘perks’ of augmented reality March 5, 2010
Surgical training and evaluation more accessible and cost-effective with overlay technology-based system
A new surgical navigation tool, the first of its kind in Canada, has made simulated needle-based surgeries more accessible.
The Perk Station, an augmented reality surgical navigation suite, strives to make training in percutaneous surgery more accessible for the medical and scientific communities.
Associate computer science professor Gabor Fichtinger, the leader of the project, said the machine uses image overlay technology to help students plan and execute needle-based surgery simulators. Previously, to simulate percutaneous surgeries, students used surgical navigation, where tools were overlayed on a computer screen, Fichtinger said.
“The problem with that is you do surgery here and the representation is over there. So, you split your attention, turn your head and you need a great deal of hand-eye coordination between the surgical field and the plan.”
The Perk Station stems from Fichtinger’s experience at Johns Hopkins University in Baltimore, MD, where he taught a computer-integrated surgery course from 2003 to 2007. The course included a one-week clinical laboratory component using human cadavers.
Fichtinger said upon arriving at Queen’s in 2007 he wanted to design a device to simulate surgical procedures done via needle puncture of the skin, such as biopsies, without the use of human cadavers......continue reading
Transoral robotic surgery showed good oncologic, functional outcomes March 4, 2010
Patients with head and neck cancers treated with transoral robotic surgery — or TORS — had good disease control, DFS and OS, according to the findings of a preliminary study presented at the Multidisciplinary Head and Neck Cancer Symposium in Chandler, Ariz.
“Disease control and survival rates using TORS appeared to be equivalent or near equivalent to those rates reported with chemoradiation, but with TORS, we need better functional outcome,” Eric Genden, MD, chief of the division of head and neck oncology at Mount Sinai Medical Center, New York, said during the presentation of the results.
To determine the role of TORS in the treatment of oropharyngeal cancer, researchers prospectively evaluated patterns of failure, survival and functional outcomes of 25 patients treated with TORS and compared them with that of 12 patients treated with combined chemoradiation.
The one-year locoregional control was 95%; distant control was 96%; DFS was 86% and OS was 86%. There was one local failure, one distant failure, one second primary failure and one comorbid death.
Patients who received TORS had less acute toxicity two weeks after treatment vs. patients who received chemoradiotherapy. The TORS group had better eating ability than the chemoradiotherapy group (74% vs. 52%) and had improved diet vs. the chemoradiotherapy group (43% vs. 20%).
Thus, TORS was associated with a higher overall functional oral intake scale score vs. that of the chemoradiotherapy group (5.3 vs. 3.2). Both groups had a score of 100% for speech. At three, six, nine and 12 months, however, patients in both groups recovered to baseline and had similar function as determined by their functional oral intake scale scores...For complete article Click here
Dr. Khurshid Guru, left, and Dr. Threnkurussi Kesavadas, right, unveil the Robotic Surgical Simulator
Robotics -'Flight Simulator' for Robotic Surgery Developed March 3, 2010
A new surgical simulator, which provides unique and effective training for surgeons, has been developed by University at Buffalo’s School of Engineering and Applied Sciences and Center for Robotic Surgery at Roswell Park Cancer Institute.
Officials with UB said that the collaboration between the two has produced one of the world’s first simulators that closely approximates the “touch and feel” of the da Vinci robotic surgical system.
The most widely used system of its kind in the world, the da Vinci robotic surgical system affords all the features that an experienced surgeon needs to ensure equivalent or superior outcomes to conventional surgery.
“Such a surgical system, like an aircraft is only as good as the pilot, and the current training required for proficiency in robot-assisted surgery is unfortunately less than ideal,” said Khurshid A. Guru, MD, director of the Center for Robotic Surgery and attending surgeon in RPCI’s Department of Urology, in a statement.
“While surgical practice does make perfect, we believe that through better training tools, the early learning curve of robot-assisted surgery can be shortened without jeopardizing the safety and welfare of patients,” said Guru.
The University officials said that the Robotic Surgical Simulator, or RoSS, addresses the quickly growing need for a realistic training environment for robot-assisted surgery, a field that is rapidly expanding and is expected to constitute a significant number of all surgeries within the next five to seven years.
According to officials, the RoSS will play a critical, educational role for RPCI and other similar institutions involved in robot-assisted surgical systems....continue reading
Dr. David B. Samadi, MD Mount Sinai's Robotic Prostatectomy Expert, Shares Core Facts About Prostate Cancer March 3, 2010
NEW YORK, NY--(Marketwire - March 3, 2010) - With more and more high profile celebrities being diagnosed with the "silent killer" known as prostate cancer (most recently the actor Louis Gossett Jr.), Dr. David B. Samadi, Chief of Robotics and Minimally Invasive Surgery at The Mount Sinai Medical Center, believes this is a good time to advise the public on the facts of prostate cancer.
"The best practice in fighting prostate cancer is not to wait until you have warning signs," says Samadi. "Once a patient has symptoms of prostate cancer, it can be too late, which is why frequent screenings are a must."
Click here to read about Prostate Cancer Core Facts
Tampa Bay doctors with disciplinary records speak for drug companies March 1, 2010
Drug companies pay doctors millions each year to promote products to their peers over meals at pricey restaurants.
The drugmakers have found that doctors are more likely to prescribe a new medication if they've heard about it from a colleague instead of a sales rep.
So who are some of the doctors telling other doctors what drugs to prescribe? Patients might want to know.
Drug companies say they choose "leading clinicians" for paid speaking engagements. Among these speakers, according to Florida public records:
Fusia was the primary surgeon and Swierzewski his assistant during an operation in October 2002 that resulted in the death of Al Greenway, a Plant High School teacher.
Greenway, 53, had a cancerous kidney. Using what was then a relatively new robotic system to remove the kidney, Fusia mistakenly cut the largest artery in the abdominal cavity and a vein that runs parallel to it. A third surgeon was called in to repair the error, but Greenway died the next day, blood seeping from his nose, ears and mouth.
Fusia and Swierzewski's insurer paid a $1 million settlement for medical malpractice in the Greenway case. Fusia received a letter of concern from the Florida Board, had to pay a $10,000 fine, plus about $6,000 in costs, perform 100 hours of community service and take courses in medical ethics.
Fusia's insurer also paid $745,000 to settle a claim after anotherpatient died due to complications while having a kidney stone removed and a third malpractice lawsuit settled in 2007 for $100,000 when a patient being operated on for prostate cancer suffered injuries that led to permanent damage.
Tampa's David G. Eaton was attorney for the families in the latter two lawsuits against Fusia.
"Having been sued for two deaths should definitely keep you from speaking for drug companies, or at least they should have to disclose some biographical data," he said.
Referring to doctors being paid as drug company speakers, Eaton said, "It's the business of medicine and I'm not sure that makes for the best patient care. It certainly doesn't lead to objectivity with drug companies."....For more on this article Click here
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